Doctor Name: | SANDRA M PHILLIPS |
NPI Number: | 1851459176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RC |
License Number: | RC00051731 |
Business Practice Address: | 1615 Delaware Street Longview, WA - 98632 |
Business Phone Number: | 3604147453 |
Business Fax Number: | 3606366792 |
Mailing Address: | 1615 Delaware St, LONGVIEW |
State: | WA |
Postal Code: | 986322367 |
Phone Number: | 3604147453 |
Fax Number: | 3606366792 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00051731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |